Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for K0843. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
- Full-schedule CSV export and state network lists
- Email alerts when a state changes its rates
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Publishing states
41
Median % of Medicare
--
Rate range
$19.48 - $7,791.40
K0843 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $4,001.73 | -- | -- | 2026 |
| Arizona | $19.48* | -- | -- | 2026 |
| California | $6,239.52 | -- | -- | 2026 |
| Colorado | $3,389.03 | -- | Required | 2026 |
| Connecticut | $3,036.93 | -- | Required | 2018 |
| District of Columbia | $5,611.01 | -- | Required | 2025 |
| Florida | $4,338.71 | -- | -- | 2026 |
| Georgia | $4,159.68* | -- | -- | 2026 |
| Hawaii | $519.96 | -- | -- | 2025 |
| Iowa | $5,060.98 | -- | -- | 2024 |
| Idaho | $4,487.85* | -- | Required | 2026 |
| Illinois | $4,423.26 | -- | -- | 2026 |
| Indiana | $3,896.53* | -- | Required | 2025 |
| Kansas | $500.00 | -- | -- | 2006 |
| Kentucky | $6,002.60 | -- | -- | 2026 |
| Massachusetts | $567.46* | -- | -- | 2026 |
| Maryland | $5,102.21 | -- | Required | 2026 |
| Maine | $5,194.27* | -- | -- | 2026 |
| Michigan | $5,463.60 | -- | -- | 2026 |
| Minnesota | $4,001.73 | -- | Required | 2026 |
| Missouri | $5,199.60* | -- | Required | 2017 |
| Mississippi | $20.78* | -- | -- | 2026 |
| Montana | $7,791.40 | -- | Required | 2026 |
| North Dakota | $600.26 | -- | Required | 2026 |
| Nebraska | $6,362.57* | -- | -- | 2026 |
| New Jersey | $420.18 | -- | Required | 2026 |
| New Mexico | $584.48 | -- | -- | 2025 |
| Nevada | $5,935.40 | -- | -- | 2021 |
| New York | $5,251.60 | -- | -- | 2026 |
| Ohio | $3,920.64 | -- | -- | 2017 |
| Oklahoma | $7,791.40 | -- | -- | 2026 |
| Pennsylvania | $4,159.68* | -- | -- | 2007 |
| South Carolina | $2,957.70* | -- | -- | 2024 |
| Texas | $5,070.65* | -- | -- | 2012 |
| Utah | $2,863.84* | -- | Required | 2026 |
| Virginia | $4,011.16 | -- | -- | 2023 |
| Vermont | $4,342.60 | -- | Required | 2026 |
| Washington | $4,001.73* | -- | -- | 2026 |
| Wisconsin | $4,001.73 | -- | -- | 2026 |
| West Virginia | $623.31 | -- | -- | 2026 |
| Wyoming | $3,601.53* | -- | Required | 2026 |
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Rows marked * are representative published variants or methodology-derived rates. "--" in the prior-auth column means the state publishes no PA flag.
Related dme & supplies codes
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- A2002 - Mirragen advanced wound matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- A2005 - Microlyte matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- A2006 - Novosorb synpath dermal matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- A2007 - Restrata, per square centimeter (add-on, list separately in addition to primary procedure)
- A2008 - Theragenesis, per square centimeter (add-on, list separately in addition to primary procedure)
- A2009 - Symphony, per square centimeter (add-on, list separately in addition to primary procedure)
- A2010 - Apis, per square centimeter (add-on, list separately in addition to primary procedure)
All 107 codes from K0001 to K0864 or every dme & supplies code by number.
Frequently asked questions
How much does Medicaid pay for K0843?
41 state Medicaid programs publish a fee-for-service rate for K0843 (power wheelchair, group 2 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds), ranging from $19.48 in Arizona to $7,791.40 in Montana. The full table on this page lists every publishing state's current rate.
Which state pays the most for K0843?
Montana publishes the highest Medicaid rate for K0843 at $7,791.40. Arizona publishes the lowest at $19.48.
Does K0843 require prior authorization under Medicaid?
14 of the 41 publishing states flag K0843 as requiring prior authorization (always or conditionally) on their fee schedules. States without a flag publish no PA indicator for this code - that means "not published", not "no PA required".